Healthcare Provider Details

I. General information

NPI: 1780182303
Provider Name (Legal Business Name): ALLISON ELIZABETH ROBINSON CIT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2018
Last Update Date: 12/19/2022
Certification Date: 12/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 CAMERON ST
MONROE LA
71201-3713
US

IV. Provider business mailing address

1733 HIGHWAY 134
MONROE LA
71203-6735
US

V. Phone/Fax

Practice location:
  • Phone: 318-651-9363
  • Fax:
Mailing address:
  • Phone: 318-331-5330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number4094
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number16710
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: